Provider Demographics
NPI:1902151608
Name:HEALING HEART URGENT CARE LLC
Entity Type:Organization
Organization Name:HEALING HEART URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-316-2882
Mailing Address - Street 1:2484 BRIARCLIFF ROAD
Mailing Address - Street 2:SUITE # 24
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329
Mailing Address - Country:US
Mailing Address - Phone:404-809-4300
Mailing Address - Fax:404-809-4307
Practice Address - Street 1:2484 BRIARCLIFF ROAD
Practice Address - Street 2:SUITE # 24
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:404-809-4300
Practice Address - Fax:404-809-4307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care